Bu Qi Tong Luo Capsules Combination Of Scectomy In The Treatment Of Lumbar Disc Herniation

ObjectiveTo observe the efficacy of use traditional Chinese medicine preparation Bu Qi Tong Luo Capsule combination of scectomy in the treatment of disc herniation, researched the transition of low back pain and radicular pain before and after surgery, and analyzed the related factors.MethodsA prospective study.57 patients who got lumbar disc herniation with back pain and leg pain and need to take operation were observed from June 2010 to November 2010, all patients were randomly divided into treatment group (28 cases) and control group (27 cases), the treatment group not in add to surgery, but also took Bu Qi Tong Luo Capsules (mainly composed of ginseng, angelica, red sage root, Chuanxiong, etc), to observe the diversification of preoperative and postoperative six months VAS scores,ODI scores,SF-36 scores. Assessed the efficacy of discectomy and Bu Qi Tong Luo Capsule, research the transition of low back pain and radicular pain before and after surgery, and analyzed the related factors.ResultsPreoperative factors associated with low back pain:disc's herniation area (P=0.041), disc's degeneration (P=0.046), disc's height (P=0.047), the stability of lumbar spine (P=0.042); preoperative factors associated with leg pain:disc's clinical type (P=0.045), disc's area (P=0.031); factors associated with low back pain in postoperative 6 months:the stability of lumbar spine (P=0.009). After 6 months, the patients' low back pain and radicular pain and dysfunction in the two groups were significantly improved compared with preoperative patients, there were significant differences (all P<0.01), after 6 months,patients who got low back pain and Lower extremity radicular pain and dysfunction in the treatment group were significantly improved compared with the control group (all P<0.05), between the two groups, after 6 months, the efficacy of treatment group was better than the control group. All patients were assessed with ODI dysfunction, excellent in 31 cases, good in 24 cases, general in 2 cases, the fine rate was 96.5%. Compared the patients in preoperative and postoperative, the various dimensions of quality of life in patients were significant differences (P<0.01). Comparison whit the general population, postoperative PCS:PF,RP,BP,GH were significant differences (P<0.05), decreased by 19.78%,22.50%,12.19% and 25.37%; postoperative MCS:compared with the general population, the MH and RE were no significant difference (P>0.05), VT,SF were reduced:15.49%,11.76%. Postoperative MCS was greater improved than PCS (P<0.05)Conclusion①Patients who got low back pain before surgery were related to the following factors:disc's area,disc's degeneration,disc's height,the stability of lumbar spine; patients who got leg pain before surgery were related to the following factors:disc's clinical type,disc's area.②Patients who got low back pain after surgery were related to the following factors:the stability of lumbar spine;patients'leg pain were good recovery after surgery, no significant correlationfactors.③After discectomy, patients who took traditional Chinese medicine preparations Bu Qi Tong Luo Capsule to treat lumbar disc herniation can got the strengthening effect on the efficacy, it is good for patients to recover.④Discectomy could alleviate low back pain and leg pain, it were significantly, especially radicular pain, but patients who got chronic low back pain and lumbar degenerative severe cases, surgery may not completely alleviate back pain.⑤Discectomy can effectively improve the patients'dysfunction and improve their quality of life, the improvement of mental health was more significantly than physical health.